NPI 1033568639

Kyle Standiford, PSYD

Practitioner Clinical Psychologist Vienna, VA

Practice location

Address: 360 Maple Ave W STE F, Vienna, VA 22180-5614
Phone: (703) 938-0058

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 0810006379 (VA)

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Registry record

NPI: 1033568639
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2016
Record last updated: 20 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.